Anal Fissures


What is an anal fissure?

An anal fissure is a tear or cut in the lining of the anus. Anal fissures are a common problem and may sometimes be confused with hemorrhoids. Anal fissures can affect people of any age group, but are more common in people under age 50.


What are the symptoms of an anal fissure?

Symptoms of an anal fissure include:


What causes anal fissures?

A tear in the anal lining can occur with:


What is the treatment for an anal fissure?

Acute anal fissure

An acute anal fissure is managed with non-operatively and can usually be treated by:


Chronic anal fissure

A chronic anal fissure does not heal despite the above measures should be treated with a small simple operation called a sphincterotomy. This procedure is usually done under anesthesia, takes a few minutes, and patients go home the same day as outpatients. During this procedure a few fibers of the internal anal sphincter muscle are cut. This decreases spasm in the muscle and allows the fissure to heal. Most patients have a significant reduction in their discomfort immediately after the surgery, and many can go back to work and resume normal activities the following day. Almost all patients (greater than 95%) have rapid healing after surgery and no further trouble with an anal fissure.


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